IN-HOSPITAL COMPLICATIONS AND OUTCOME OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION IN SULAIMANI CORONARY CARE UNIT

Amanj Abubakr Khaznadar a and Pishtiwan Hussain Qadir b



a Department of Medicine, College of Medicine, University of Sulaimani. 
b Kurdistan Board Candidate, Shahid HemnTeaching Hospital for Medical Diseases. 



Submitted: 17/2/2018; Accepted: 15/5/2018; Published 1/8/2018
ABSTRACT


Background 

Complications following acute myocardial infarction started to decrease in the past three decades after development of primary percutaneous coronary intervention and thrombolytic therapy, beside many other antiplatelet medications; however complications following acute myocardial infarction still is a major concern in the developing countries.


Objectives 

To detect complications and mortality that follow acute myocardial infarction during hospitalization.


Methods and study design

An observational study, consecutive patients (n=120) with the diagnosis of acute myocardial infarction admitted to the Sulaimani coronary care unit from June 2017 to February 2018 were included in this study, the in-hospital mortality and complications were recorded and analyzed.


Results

The mean age of populations in this study was 61.39±10.36 years, there were (70%) males and (30%) females, 35% of patients were smokers, 47.5% of patients had hypertension, 35% of patients had diabetes mellitus, anterior wall infarctions was present in (41.7%) of patients, while inferior wall infarction was present in (34.2%) of patients, (27.5%) of patients received thrombolytic therapy, while (54.2%) of patients received primary percutaneous coronary intervention for revascularization, 3.3% of them died during hospital stay while 53.3% of them discharged from hospital in stable condition after staying one to two days in hospital. Left ventricular dysfunction was found in (20.7%) of patients while (13.3%) develop arrhythmia and (13.3%) develop cardiogenic shock.


Conclusion

In-hospital mortality rate of acute ST segment elevation myocardial infarction in this study was 3.3% which is comparable with studies from the western countries and India, this low rate of mortality belongs to high rate of revascularizations (percutaneous coronary intervention and thrombolytic.



KEYWORDS

Acute myocardial infarction, In-hospital complications and mortality, Sulaimani Coronary Care Unit.